If your buttocks are flatter or smaller and you desire to get bigger, shapelier, and fuller booties, you may consider the butt implant surgery. The procedure involves the placing of prosthetic devices called implants inside the buttocks. As a result, the buttocks not only increase in size but also improve in shape. Improvement in the size and shape of your buttocks will ultimately translate into an improvement in your overall body profile.

In order to achieve better aesthetic outcomes with the butt implant surgery, you must be sure to have the implants placed in a suitable position within the buttocks. There are three options when it comes to butt implant placement: under the gluteal muscle, within the gluteal muscle, and below the gluteal muscle. Each of these options come with their own pros and cons; however, most plastic surgeons prefer the first two options since they offer more benefits in terms of aesthetic and safety.

Butt implant placement options

Under the gluteal muscle

Placing the butt implants under the gluteal muscle is the most popular and widely used implant placement option. Under this option, the plastic surgeon places an incision on the butt and inserts the implant inside the booties. The implant is then placed and positioned in a pocket underneath the gluteal muscle.

There are many reasons why this implant placement option is preferred by most plastic surgeons. First off, when the implant is placed under the butt muscle, it is less likely to be visible and felt. In other words, the risk of implant palpability and tangibility is lower when the implant is placed under the butt muscle. The implants get maximum tissue coverage underneath the gluteal muscle, which is why these risks are lower.

Secondly, there is little or no risk of implant shifting or migration under this placement option. It is worth noting here that butt implant surgery comes with a risk that the implant may shift or get displaced, meaning the implant will move away from its original position. If this happens, the shape and other aesthetic features of the buttocks will be seriously affected. The good news is that when the implant is placed below the butt muscle, this risk is drastically reduced.

Furthermore, when the implant is placed below the butt muscle, the risk of capsular contracture and infection is drastically decreased. This happens because the implants do not get any contact with the outer tissues. After the butt implant surgery, especially when the implant is large, there is a risk of butt sagginess. However, placing the implant under the gluteal muscle can reduce this risk.

Despite its benefits, board-certified plastic surgeons caution against going too deep. When the implant is placed very deep underneath the gluteal muscle, the risk of sciatic nerve damage and impingement shoots up.

Within the gluteal muscle

The second most popular option of butt implant placement is within the gluteal muscle. This implant placement option comes with all the benefits associated with placing the implant under the gluteal muscle. The implants are covered with the strongest part of the muscles in this option. As such, the outcomes are often impressive and safer.

For example, when the implant is placed within the gluteal muscle, the risk of implant displacement, infection, capsular contracture, butt sagging, and implant palpability are drastically reduced. Moreover, the buttocks appear more natural with this implant placement option.

Placing the implant within the gluteal muscle delivers the above-mentioned benefits because the implants get more tissue coverage in this position. The tissue coverage enables the implants to stay in place and intact. The good news is that with this option, there is no risk of sciatic nerve damage and impingement that often occur when the prosthetics are placed deep under the butt muscle.

Over the gluteal muscle

The third option is to place the implant over the gluteal muscle. This option does not deliver aesthetically appealing and safer outcomes, which is why most plastic surgeons avoid placing the prosthetics above the butt muscle. However, in some cases, there may not be any other option than placing the implant over the gluteal muscle.

The results of this placement option are relatively less natural. Furthermore, there are a number of risks associated with this option. The risks are greater for patients who are slimmer and those who go for very large implants. Since the implants are not covered by the tissue, there is a risk your buttocks may sag over time after the surgery.

Another common reason why most surgeons and patients avoid this implant placement option is the risk of implant shifting or migration. Because of the lack of tissue coverage, the implant can easily get displacement upon the application of some pressure or force during or after the recovery period. Other risks associated with this option include increased the risk of infection and capsular contracture.

Important considerations

No matter which implant option you choose to go with, be sure to select suitably sized implants for your surgery. Ideally, the implant size should accentuate your overall body profile, butt dimensions, and underlying anatomy. This will ensure you achieve natural and safer outcomes with the intervention. Very large butt implants increase the risk of implant displacement, capsular contracture, and infections.

During the initial consultation, be sure to discuss with the surgeon the implant placement option best for you. What option may be suitable for you also depends on your aesthetic goals, the implant size, the surgeon’s preferences, and your existing anatomy and overall body outline.


Butt implant surgery is an effective way to enhance your backside; however, the outcomes of the procedure depend on a number of factors. One of the critical factors that would shape the final results of the intervention is where exactly the implants are placed within the booties. The three popular choices for butt implant placement have been discussed in detail above, along with their pros and cons. Patients should make certain to discuss with the plastic surgeon as to what option is best for them and why.